| Punch biopsy of skin single lesion CPT 11104 • Dermatology | $114 | $128 | $141 |
| Incisional biopsy of skin single lesion CPT 11106 • Dermatology | $51 | $112 | $172 |
| Shaving skin lesion trunk/arms/legs 0.5cm or less CPT 11300 • Dermatology | $34 | $73 | $108 |
| Shaving skin lesion trunk/arms/legs 0.6-1.0cm CPT 11301 • Dermatology | $100 | $115 | $135 |
| Shaving skin lesion scalp/neck/hands/feet 0.5cm or less CPT 11305 • Dermatology | $37 | $66 | $95 |
| Shaving skin lesion face 0.5cm or less CPT 11310 • Dermatology | $50 | $81 | $112 |
| Excision benign lesion trunk/arms/legs 0.5cm or less CPT 11400 • Dermatology | $114 | $114 | $114 |
| Excision benign lesion trunk/arms/legs 0.6-1.0cm CPT 11401 • Dermatology | $66 | $82 | $98 |
| Excision benign lesion trunk/arms/legs 1.1-2.0cm CPT 11402 • Dermatology | $73 | $93 | $112 |
| Excision benign lesion face 0.5cm or less CPT 11440 • Dermatology | $92 | $92 | $92 |
| Excision malignant lesion trunk/arms/legs 0.5cm or less CPT 11600 • Dermatology | $185 | $202 | $219 |
| Excision malignant lesion trunk/arms/legs 0.6-1.0cm CPT 11601 • Dermatology | $206 | $206 | $206 |
| Excision malignant lesion trunk/arms/legs 1.1-2.0cm CPT 11602 • Dermatology | $232 | $252 | $270 |
| Excision malignant lesion face 0.5cm or less CPT 11640 • Dermatology | $123 | $123 | $123 |
| Avulsion of nail plate partial or complete CPT 11730 • Dermatology | $47 | $47 | $47 |
| Destruction premalignant lesion first lesion CPT 17000 • Dermatology | $57 | $60 | $63 |
| Destruction premalignant lesion 2-14 each additional CPT 17003 • Dermatology | $2 | $4 | $6 |
| Destruction premalignant lesion 15 or more CPT 17004 • Dermatology | $142 | $142 | $142 |
| Destruction benign lesions up to 14 CPT 17110 • Dermatology | $63 | $94 | $123 |
| Destruction benign lesions 15 or more CPT 17111 • Dermatology | $78 | $118 | $144 |
| Photochemotherapy tar and UV-B CPT 96910 • Dermatology | $110 | $125 | $140 |
| Laser treatment dermatologic up to 250 sq cm CPT 96920 • Dermatology | $57 | $126 | $195 |
| Blood glucose test strip HCPCS A4253 • Durable Medical Equipment | $5 | $5 | $6 |
| Calibration solution glucose monitor HCPCS A4256 • Durable Medical Equipment | $2 | $2 | $2 |
| Crutches forearm each HCPCS E0110 • Durable Medical Equipment | $41 | $51 | $57 |
| Walker folding wheeled adjustable height HCPCS E0143 • Durable Medical Equipment | $28 | $37 | $47 |
| Hospital bed semi-electric HCPCS E0260 • Durable Medical Equipment | $49 | $243 | $436 |
| Portable gaseous oxygen system HCPCS E0431 • Durable Medical Equipment | $13 | $59 | $150 |
| Nebulizer compressor HCPCS E0570 • Durable Medical Equipment | $5 | $41 | $76 |
| Oxygen concentrator portable HCPCS E1390 • Durable Medical Equipment | $60 | $207 | $500 |
| Negative pressure wound therapy electric pump HCPCS E2402 • Durable Medical Equipment | $573 | $3,689 | $6,805 |
| Standard wheelchair HCPCS K0001 • Durable Medical Equipment | $19 | $126 | $232 |
| Power wheelchair group 2 standard HCPCS K0823 • Durable Medical Equipment | $216 | $1,998 | $3,041 |
| Cervical collar nonadjustable HCPCS L0180 • Durable Medical Equipment | $185 | $200 | $214 |
| Lumbar support corset HCPCS L0650 • Durable Medical Equipment | $528 | $675 | $823 |
| Knee orthosis adjustable joint HCPCS L1832 • Durable Medical Equipment | $33 | $244 | $456 |
| Foot insert removable molded HCPCS L3000 • Durable Medical Equipment | $15 | $122 | $184 |
| Submucous resection inferior turbinate CPT 30140 • ENT | $267 | $330 | $366 |
| Septoplasty CPT 30520 • ENT | $631 | $720 | $810 |
| Ablation inferior turbinate unilateral intramural CPT 30801 • ENT | $182 | $192 | $202 |
| Nasal endoscopy diagnostic CPT 31231 • ENT | $133 | $182 | $235 |
| Nasal endoscopy with biopsy CPT 31237 • ENT | $157 | $265 | $329 |
| Nasal/sinus endoscopy with ethmoidectomy partial CPT 31254 • ENT | $377 | $452 | $527 |
| Nasal/sinus endoscopy with ethmoidectomy total CPT 31255 • ENT | $312 | $351 | $390 |
| Nasal/sinus endoscopy with maxillary antrostomy CPT 31256 • ENT | $173 | $199 | $212 |
| Nasal/sinus endoscopy with frontal sinus exploration CPT 31267 • ENT | $255 | $255 | $255 |
| Nasal/sinus endoscopy with sphenoidotomy CPT 31276 • ENT | $376 | $415 | $455 |
| Incision and drainage peritonsillar abscess CPT 42700 • ENT | $179 | $208 | $236 |
| Tonsillectomy and adenoidectomy under age 12 CPT 42820 • ENT | $275 | $339 | $402 |
| Tonsillectomy and adenoidectomy age 12 or older CPT 42821 • ENT | $287 | $287 | $287 |